Individual
TIMOTHY KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2923 LILLY DR, LIMA, OH 45807-1316
(419) 909-1001
Mailing address
2923 LILLY DR, LIMA, OH 45807-1316
(419) 909-1001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-077106
AL
367500000X
Certified Registered Nurse Anesthetist
COA.15480-NA
OH
Other
Enumeration date
12/30/2013
Last updated
07/08/2015
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